SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000600080047-5
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: April 8, 1999
• Sequence Number: 47
• Publication Date: July 25, 1956
• Content Type: FORM

Approved For Release.21D00/08/26: CIA-RDP61 SO0750A000600047-5
SIGNATURE RECORD AND COVER SHEET
DOCUMENT DESCRIPTION
REGISTRY
SOURCE
CIA CONTROL NO
14 4 7 I !GCS C "c=s
DOC. NO.
DATE DOCUMENT RECEIVED
DOC. DATE
COPY NO. /
LOGGED BY
NUMBER OF PA S
NUMBER OF ATTACHMENTS
ATTENTION: This form will be placed on top of and attached to each Top Secret document received by the Central Intel-
ligence Agency or classified Top Secret within the CIA and will remain attached to the document until such time as it
is downgraded, destroyed, or transmitted outside of CIA. Access to Top Secret matter is limited to Top Secret Control
personnel and those individuals whose official duties relate to the matter. Top Secret Control Officers who receive
and/or release the attached Top Secret material will sign this form and indicate period of custody in the left-hand
columns provided. Each individual who sees the Top Secret document will sign and indicate the date of handling in the
right-hand columns.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
SIGNATURE
DATE
TIME
DATE
TIME
SIGNATURE AND OFFICE
DATE
C W
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25X1A9a
NOTICE OF DETACHMENT: When this form is detached from Top Secret material it shall be completed in the appropriate
spaces below and transmitted to Central Top Secret Control for record.
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA)
TO
BY (Signature)
TO
BY (Signature)
WITNESSED BY (Signature)
BY
(Signature)
DATE Approved orT~le ease 1
0=08126 -
-
DATE